All states › Texas › Houston › Legend Oaks Healthcare and Rehabilitation Center
8902 West Rd Houston, TX 77064 · Harris County
All 60 nursing homes in Houston, TX (53 take Medicaid)
CMS certification number 676137 · See this home on Medicare Care Compare
Is Legend Oaks Healthcare and Rehabilitation Center a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Legend Oaks Healthcare and Rehabilitation Center as of October 2026.
CMS rates it 3 out of 5 stars overall, about the same as the Texas average of 2.8.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 3.30 hours per resident per day at Legend Oaks Healthcare and Rehabilitation Center, about the same as the Texas median of 3.30 (US median: 3.72). About 0.43 of those hours are from registered nurses. On weekends it falls to 2.92 hours, 12% below its all-week average. 61.5% of nursing staff left within a year (Texas median 50.2%). High turnover can mean residents see unfamiliar caregivers; ask how long the nurses on the unit have worked there.
About this nursing home
Paying for care at Legend Oaks Healthcare and Rehabilitation Center: Medicare and Medicaid
Legend Oaks Healthcare and Rehabilitation Center is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Texas's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on August 13, 2026 and found 7 deficiencies, plus 6 from complaint inspections in the same period. In total, inspectors issued 24 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 24 citations at Legend Oaks Healthcare and Rehabilitation Center across 6 inspection dates, 10 of them from complaint investigations. 2 were at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on April 23, 2024 (complaint inspection). The most common areas cited were pharmacy service (5) and resident assessment and care planning (5). The most serious was cited under the CMS rule to "develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured" (tag F0656, level K, April 23, 2024). 1 citation was under CMS's abuse, neglect and exploitation rules.
August 13, 2026 · 7 citations
GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
DProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DDispose of garbage and refuse properly.
DProvide and implement an infection prevention and control program.
DMake sure that a working call system is available in each resident's bathroom and bathing area.
December 1, 2025 · 6 citations · includes complaint inspection
DEnsure each resident receives an accurate assessment.
DProvide for the safe, appropriate administration of IV fluids for a resident when needed.
DEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
DEnsure that residents are free from significant medication errors.
DEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
CPost nurse staffing information every day.
June 6, 2025 · 6 citations
EDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
EEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DProvide safe and appropriate respiratory care for a resident when needed.
DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
DProvide and implement an infection prevention and control program.
February 28, 2025 · 2 citations · includes complaint inspection
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
May 10, 2024 · 1 citation
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
April 23, 2024 · 2 citations, includes immediate jeopardy · includes complaint inspection
KDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
KEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Questions to ask on a tour of Legend Oaks Healthcare and Rehabilitation Center
- Inspectors cited the home at the immediate-jeopardy level on April 23, 2024 under the rule on resident assessment and care planning. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on August 13, 2026. How are staff trained, and how are concerns reported?
- CMS rates staffing 2 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
- Nursing staff turnover was 61.5% a year. How many of the staff come from agencies?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
2 penalties in the last three years, including $53,425 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Aug 13, 2026 | Fine | $14,380 |
| Apr 23, 2024 | Fine | $39,045 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 3/5 | 2/5 | 2/5 | 5/5 |
| August 2026 | 2/5 | 2/5 | 1/5 | 5/5 |
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Location
Hospitals near Legend Oaks Healthcare and Rehabilitation Center
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
- 3.0 mi
-
4.4 mi
Methodist Willowbrook Hospital HoustonEmergency room ★★★★★ Medicare overall 5 of 5Median ER visit 2h 53m for patients treated and sent home
- 5.5 mi
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near Legend Oaks Healthcare and Rehabilitation Center › All nursing homes in Houston ›
Compare Legend Oaks Healthcare and Rehabilitation Center with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Park Manor of Cyfair · Houston · 5 stars · 2.8 mi
Other The Ensign Group nursing homes in Texas
- Grand Terrace Rehabilitation and Healthcare · McAllen · 5 stars
- River Pointe of Trinity Healthcare and Rehabilitation · Trinity · 5 stars
- Golden Palms Rehabilitation and Retirement · Harlingen · 5 stars
- Beacon Harbor Healthcare and Rehabilitation · Rockwall · 5 stars
- Crestwood Health and Rehabilitation Center · Wills Point · 5 stars
- Legend Oaks Healthcare and Rehabilitation - Ennis · Ennis · 5 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 347 The Ensign Group nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.